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Third-Party Medical Claims Adjudication

Open
Federal

Contract Overview

Solicitation details, issuing organization, response deadlines, documents, and interested companies for this government contract opportunity.

General Info

NAICS

541219 - Other Accounting Services

Place of Performance

Pekin, IL, 61554, USA

Set-Aside

NONE

Documents

This scope was carved out of 15BCMS27R41100001.

The full solicitation package (1 document), including the RFP, is on the prime solicitation, not on this scope.

View the prime solicitation

Comprehensive Medical Services -FCI Pekin

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Timeline

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Organization & Contact Information

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AgencyDepartment Of Justice → Fao
ContactsNo contacts available
OfficeN/A
Organization / AgencyDepartment Of Justice → Fao
Office AddressN/A
ContactsNo contact information available

Full Description

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Reviews medical claims for prime contractors on Bureau of Prisons (BOP) medical services projects at FCI Pekin. Audits medical claims to verify pricing against contract terms, prevents duplicate billings, and validates medical record documentation. Requires expertise in government medical billing and claims auditing. Personnel must sign NDAs and pass background checks for PII access. Delivers adjudicated claims reports and payment recommendations.

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